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Agnesian Healthcare Inc

Family Medicine Physician in Fond Du Lac, WI · enumerated 2005 · authorized official Amy Grinnell, Vp-Finance, Cfo.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1730162991

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Registry record

Entity type Organization (Type 2)
Legal business name Agnesian Healthcare Inc
Other name <Unavail>
Practice address 420 E Division St, Fond Du Lac, WI, 54935
Enumeration date Nov 22, 2005
Last updated in NPPES Jun 5, 2024

Taxonomy & classification

152W00000X Optometrist Eye and Vision Services Providers Secondary
207L00000X Anesthesiology Physician Allopathic & Osteopathic Physicians Secondary
207N00000X Dermatology Physician Allopathic & Osteopathic Physicians Secondary
207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians Primary
207R00000X Internal Medicine Physician Allopathic & Osteopathic Physicians Secondary
207V00000X Obstetrics & Gynecology Physician Allopathic & Osteopathic Physicians Secondary
207W00000X Ophthalmology Physician Allopathic & Osteopathic Physicians Secondary
207X00000X Orthopaedic Surgery Physician Allopathic & Osteopathic Physicians Secondary
207Y00000X Otolaryngology Physician Allopathic & Osteopathic Physicians Secondary
208000000X Pediatrics Physician Allopathic & Osteopathic Physicians Secondary
208100000X Physical Medicine & Rehabilitation Physician Allopathic & Osteopathic Physicians Secondary
208600000X Surgery Physician Allopathic & Osteopathic Physicians Secondary
208800000X Urology Physician Allopathic & Osteopathic Physicians Secondary
213E00000X Podiatrist Podiatric Medicine & Surgery Service Providers Secondary
332B00000X Durable Medical Equipment & Medical Supplies Suppliers Secondary

Authorized official

Name Amy Grinnell
Title Vp-Finance, Cfo

Other identifiers

Identifier Type State Issuer
32841900 Medicaid WI -
CY0124 Other WI RAILROAD MEDICARE GRP #
38437100 Medicaid WI -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What type of organization is Agnesian Healthcare Inc?
Agnesian Healthcare Inc is registered in NPPES as a Family Medicine Physician (its primary provider taxonomy).
What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2024-06-05.